APPLICATION OF ABSORBABLE PINS FOR RECONSTRUCTING PELVIC STABILITY IN Salter INNOMINATE OSTEOTOMY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XIE Xiaoli , TANG Xueyang , JIANG Xin , PENG Mingxing , LIU Lijun.

Department of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China. Corresponding author: LIU Lijun, E-mail: ll1964@126.com;

Corresponding author：

Keywords：

Absorbable pin; Developmental dysplasia of the hip; Salter innominate osteotomy

DOI：

10.7507/1002-1892.20130099

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Objective To investigate the effectiveness of absorbable pins for reconstructing pelvic stability in Salter innominate osteotomy for treating development dysplasia of the hip (DDH). Methods Between January 2003 and December 2008, 392 patients (440 hips) with DDH underwent a Salter procedure. There were 68 boys (82 hips) and 324 girls (358 hips) with a mean age of 3 years and 3 months (range, 1 year and 6 months-5 years). According to Tonnis classification criteria, 13 hips were rated as grade I, 304 hips as grade II, 82 hips as grade III, and 41 hips as grade IV. Based on the degree of displacement of the femoral head and acetabular index on the anteroposterior pelvic X-ray film, operation method was selected before operation. A total of 341 hips were managed with open reduction and Salter innominate osteotomy, and 99 hips with Salter innominate osteotomy and femoral shortening rotating osteotomy. All cases underwent autologous iliac crest grafting and fixation between osteotomy sites and bone graft with 2 absorbable pins. Results At 1 day after operation, anteroposterior pelvic X-ray examination showed concentric reduction in all hips, having no instability of the joint of the osteotomy sites or bone graft shifting. A total of 368 patients (413 hips) were followed up 1 to 7 years (mean, 3 years and 10 months). At 3 months after operation, no bone graft in stability or shift, and sliding or loosening of pins occurred. At last follow-up, concentric reduction rate was 100%; after hip loading, 358 patients had no claudication and limited hip activities, who had the stability of hips and negative Allis and Ortalani signs. No abnormal height growth was observed in all patients. According to Mckay’s hip function evaluation criteria, the results were excellent in 390 hips, good in 16 hips, and fair in 7 hips, with an excellent and good rate of 98.3%; according to Severin X-ray criteria, the results were excellent in 386 hips, good in 17 hips, and fair in 10 hips, with an excellent and good rate of 97.6%. Conclusion Absorbable pins can replace steel pins for fixation of the osteotomy sites and bone graft in Salter innoninate because of flexible and convenient operation without a need for reoperation of steel pins extraction.

Citation： XIE Xiaoli,TANG Xueyang,JIANG Xin,PENG Mingxing,LIU Lijun.. APPLICATION OF ABSORBABLE PINS FOR RECONSTRUCTING PELVIC STABILITY IN Salter INNOMINATE OSTEOTOMY. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(4): 428-431. doi: 10.7507/1002-1892.20130099 Copy

1.	何鼎, 饶维暐, 赵黎, 等. 可吸收棒在发育性髋关节脱位Salter骨盆截骨术中的应用. 中国矫形外科杂志, 2012, 20(9): 796-799.
2.	孙效棠, 颉强, 赵黎, 等. 可吸收棒用于骨盆截骨手术治疗髋关节发育不良. 中华小儿外科杂志, 2005, 26(2): 109-110.
3.	McKay DW. A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip. Clin Orthop Relat Res, 1974, (98): 124-132.
4.	Ward WT, Vogt M, Grudziak JS, et al. Severin classification system for evaluation of the results of operative treatment of congenital dislocation of the hip. A study of intraobserver and interobserver reliability. J Bone Joint Surg (Am), 1997, 79(5): 656-663.
5.	赵建华, 廖维宏. 聚乳酸类骨科材料的应用研究. 中华创伤杂志, 2002, 18(6): 379-381.
6.	Kroeber MW, Rovinsky D, Haskell A, et al. Biomechanical testing of bioabsorbable cannul ated screws for slipped capital femoral epiphysis fixation. Orthopedics, 2002, 25(6): 659-663.
7.	彭维海, 绍英, 荣莉, 等. 新型可吸收材料PLLA/PLLA-gHA的生物相容性. 吉林大学学报: 医学版, 2008, 34(1): 14-18.
8.	肖睿, 宋跃明, 杨天府, 等. 可吸收螺钉的初步临床观察. 生物医学工程学杂志, 2005, 22(5): 1055-1057.
9.	孙万驹, 倪明, 王予斌. 聚乳酸可吸收材料在骨折治疗中的临床进展. 中国矫形外科杂志, 2010, 18(22): 1877-1879.
10.	Ueki K, Okabe K, Miyazaki M, et al. Skeletal stability after mandibular setback surgery: comparisons among unsintered hydroxyapatite/poly-L-lactic acid plate, poly-L-lactic acid plate, and titanium plate. J Oral Maxillofac Surg, 2011, 69(5): 1464-1468.
11.	刘建国, 马卫华, 徐莘香. 生物降解可吸收骨折内固定物的临床应用. 中国修复重建外科杂志, 2002, 16(3): 209-211.
12.	赵志钢, 郝佳杰, 郭庆宝, 等. 可吸收棒髓内固定在创伤性指离断中的应用. 中国矫形外科杂志, 2012, 20(10): 960.
13.	尹伟忠, 倪明, 胡晓亮, 等. 可吸收棒髓内固定治疗跖骨不稳定骨折. 中国组织工程研究与临床康复, 2010, 14(25): 4677-4680.
14.	王盛伟, 范远俊, 向阳. 股骨头骨折应用可吸收材料15例临床分析. 第三军医大学学报, 2008, 30(6): 484, 488.
15.	Bassuener SR, Mullis BH, Harrison RK, et al. Use of bioabsorbable pins in surgical fixation of comminuted periarticular fractures. J Orthop Trauma, 2012, 26(10): 607-610.
16.	Konkel KF, Sover ER, Menger AG, et al. Hammer toe correction using an absorbable pin. Foot Ankle Int, 2011, 32(10): 973-978.
17.	Moure C, Qassemyar Q, Dunaud O, et al. Skeletal stability and morbidity with self-reinforced P (L/DL) LA resorbable osteosynthesis in bimaxillary orthognathic surgery. J Craniomaxillofac Surg, 2012, 40(1): 55-60.
18.	刘晋梁, 李克耀, 何建宁. 可吸收肋骨钉在多发性肋骨折内固定中的应用. 中国修复重建外科杂志, 2011, 25(1): 100-103.
19.	Fu D, Xiao B, Yang S, et al. Open reduction and bioabsorbable pin fixation for late presenting irreducible supracondylar humeral fracture in children. Int Orthop, 2011, 35(5): 725-730.
20.	Takeba J, Takahashi T, Hino K, et al. Arthroscopic technique for fragment fixation using absorbable pins for osteochondritis dissecans of the humeral capitellum: a report of 4 cases. Knee Surg Sports Traumatol Arthrosc, 2010, 18(6): 831-835.
21.	Volpi P, Marinoni L, Bait C, et al. Tibial fixation in anterior cruciate ligament reconstruction with bone-patellar tendon-bone and semitendinosus-gracilis autografts: a comparison between bioabsorbable screws and bioabsorbable cross-pin fixation. Am J Sports Med, 2009, 37(4): 808-812.
22.	Liljeros K, Werner S, Janarv PM. Arthroscopic fixation of anterior tibial spine fractures with bioabsorbable nails in skeletally immature patients. Am J Sports Med, 2009, 37(5): 923-928.
23.	Morandi A, Dupplicato P, Sansone V. Results of distal metatarsal osteotomy using absorbable pin fixation. Foot Ankle Int, 2009, 30(1): 34-38.
24.	Alcelik I, Alnaib M, Pollock R, et al. Bioabsorbable fixation for Mitchell’s bunionectomy osteotomy. J Foot Ankle Surg, 2009, 48(1): 9-14.

1. 何鼎, 饶维暐, 赵黎, 等. 可吸收棒在发育性髋关节脱位Salter骨盆截骨术中的应用. 中国矫形外科杂志, 2012, 20(9): 796-799.
2. 孙效棠, 颉强, 赵黎, 等. 可吸收棒用于骨盆截骨手术治疗髋关节发育不良. 中华小儿外科杂志, 2005, 26(2): 109-110.
3. McKay DW. A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip. Clin Orthop Relat Res, 1974, (98): 124-132.
4. Ward WT, Vogt M, Grudziak JS, et al. Severin classification system for evaluation of the results of operative treatment of congenital dislocation of the hip. A study of intraobserver and interobserver reliability. J Bone Joint Surg (Am), 1997, 79(5): 656-663.
5. 赵建华, 廖维宏. 聚乳酸类骨科材料的应用研究. 中华创伤杂志, 2002, 18(6): 379-381.
6. Kroeber MW, Rovinsky D, Haskell A, et al. Biomechanical testing of bioabsorbable cannul ated screws for slipped capital femoral epiphysis fixation. Orthopedics, 2002, 25(6): 659-663.
7. 彭维海, 绍英, 荣莉, 等. 新型可吸收材料PLLA/PLLA-gHA的生物相容性. 吉林大学学报: 医学版, 2008, 34(1): 14-18.
8. 肖睿, 宋跃明, 杨天府, 等. 可吸收螺钉的初步临床观察. 生物医学工程学杂志, 2005, 22(5): 1055-1057.
9. 孙万驹, 倪明, 王予斌. 聚乳酸可吸收材料在骨折治疗中的临床进展. 中国矫形外科杂志, 2010, 18(22): 1877-1879.
10. Ueki K, Okabe K, Miyazaki M, et al. Skeletal stability after mandibular setback surgery: comparisons among unsintered hydroxyapatite/poly-L-lactic acid plate, poly-L-lactic acid plate, and titanium plate. J Oral Maxillofac Surg, 2011, 69(5): 1464-1468.
11. 刘建国, 马卫华, 徐莘香. 生物降解可吸收骨折内固定物的临床应用. 中国修复重建外科杂志, 2002, 16(3): 209-211.
12. 赵志钢, 郝佳杰, 郭庆宝, 等. 可吸收棒髓内固定在创伤性指离断中的应用. 中国矫形外科杂志, 2012, 20(10): 960.
13. 尹伟忠, 倪明, 胡晓亮, 等. 可吸收棒髓内固定治疗跖骨不稳定骨折. 中国组织工程研究与临床康复, 2010, 14(25): 4677-4680.
14. 王盛伟, 范远俊, 向阳. 股骨头骨折应用可吸收材料15例临床分析. 第三军医大学学报, 2008, 30(6): 484, 488.
15. Bassuener SR, Mullis BH, Harrison RK, et al. Use of bioabsorbable pins in surgical fixation of comminuted periarticular fractures. J Orthop Trauma, 2012, 26(10): 607-610.
16. Konkel KF, Sover ER, Menger AG, et al. Hammer toe correction using an absorbable pin. Foot Ankle Int, 2011, 32(10): 973-978.
17. Moure C, Qassemyar Q, Dunaud O, et al. Skeletal stability and morbidity with self-reinforced P (L/DL) LA resorbable osteosynthesis in bimaxillary orthognathic surgery. J Craniomaxillofac Surg, 2012, 40(1): 55-60.
18. 刘晋梁, 李克耀, 何建宁. 可吸收肋骨钉在多发性肋骨折内固定中的应用. 中国修复重建外科杂志, 2011, 25(1): 100-103.
19. Fu D, Xiao B, Yang S, et al. Open reduction and bioabsorbable pin fixation for late presenting irreducible supracondylar humeral fracture in children. Int Orthop, 2011, 35(5): 725-730.
20. Takeba J, Takahashi T, Hino K, et al. Arthroscopic technique for fragment fixation using absorbable pins for osteochondritis dissecans of the humeral capitellum: a report of 4 cases. Knee Surg Sports Traumatol Arthrosc, 2010, 18(6): 831-835.
21. Volpi P, Marinoni L, Bait C, et al. Tibial fixation in anterior cruciate ligament reconstruction with bone-patellar tendon-bone and semitendinosus-gracilis autografts: a comparison between bioabsorbable screws and bioabsorbable cross-pin fixation. Am J Sports Med, 2009, 37(4): 808-812.
22. Liljeros K, Werner S, Janarv PM. Arthroscopic fixation of anterior tibial spine fractures with bioabsorbable nails in skeletally immature patients. Am J Sports Med, 2009, 37(5): 923-928.
23. Morandi A, Dupplicato P, Sansone V. Results of distal metatarsal osteotomy using absorbable pin fixation. Foot Ankle Int, 2009, 30(1): 34-38.
24. Alcelik I, Alnaib M, Pollock R, et al. Bioabsorbable fixation for Mitchell’s bunionectomy osteotomy. J Foot Ankle Surg, 2009, 48(1): 9-14.

Chinese Journal of Reparative and Reconstructive Surgery

APPLICATION OF ABSORBABLE PINS FOR RECONSTRUCTING PELVIC STABILITY IN Salter INNOMINATE OSTEOTOMY

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